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外周血中性粒细胞绝对值/淋巴细胞绝对值比值在急性百草枯中毒早期预后评估中的价值

刘磊 汪学琴 黄杨 尹文 王倩梅 樊菲菲 张宁 庞芳宁

解放军医药杂志2017,Vol.29Issue(8):10-13,4.
解放军医药杂志2017,Vol.29Issue(8):10-13,4.DOI:10.3969/j.issn.2095-140X.2017.08.003

外周血中性粒细胞绝对值/淋巴细胞绝对值比值在急性百草枯中毒早期预后评估中的价值

Value of Absolute Neutrophil Count to Absolute Lymphocyte Count Ratio in Peripheral Blood in Early Evaluation of Patients with Acute Paraquat Poisoning

刘磊 1汪学琴 2黄杨 2尹文 1王倩梅 1樊菲菲 1张宁 1庞芳宁1

作者信息

  • 1. 710032 西安,第四军医大学西京医院急救中心
  • 2. 830000 乌鲁木齐,新疆生产建设兵团医院急诊科
  • 折叠

摘要

Abstract

Objective To investigate absolute neutrophil count to absolute lymphocyte count ratio in peripheral blood in early evaluation prognosis of patients with acute paraquat poisioning.Methods A total of 164 patients with pa raquat poisoning admitted during January 2014 and October 2015 were divided into death group and survival group according to follow-up results.Risk factors affecting death of paraquat poisioning were observed,and value of absolute neutrophil count to absolute lymphocyte count ratio in evaluation of prognosis was analyzed.Results Among the 164 patients,99 patients died,and the fatality rate was 60.37%.In dead group,values of white blood cell count,neutrophil count and absolute neutrophil count to absolute lymphocyte count ratio in blood were significantly higher,while values of blood lymphocyte and potassium were significantly lower than those in survival group (P < 0.05).Lymphocytes and absolute neutrophil count to absolute lymphocyte count ratio were independent risk factors of death in patients with paraquat poisoning.When absolute neutrophil count to absolute lymphocyte count ratio was more than 12.07,the specificity and sensitivity in prediction of 30-day fatality rate of patients with paraquat poisoning were 96.9% and 65.7% respectively.Conclusion Absolute neutrophil count to absolute lymphocyte count ratio has a certain value in evaluation of prognosis of patients with paraquat poisoning.

关键词

百草枯/中毒/中性粒细胞/淋巴细胞/预后

Key words

Paraquat/Poisoning/Neutrophil/lymphocytes/Prognosis

分类

医药卫生

引用本文复制引用

刘磊,汪学琴,黄杨,尹文,王倩梅,樊菲菲,张宁,庞芳宁..外周血中性粒细胞绝对值/淋巴细胞绝对值比值在急性百草枯中毒早期预后评估中的价值[J].解放军医药杂志,2017,29(8):10-13,4.

基金项目

国家自然科学基金(81101413) (81101413)

解放军医药杂志

OACSTPCD

2095-140X

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